| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.20 | $112.20 | $912.01 | |
Aetna
| Professional | $104.71 | $114.82 | $120.23 | |
CareFirst
| Professional | $107.15 | $120.23 | $131.83 | |
Cigna
| Facility | $245.47 | $251.19 | $575.44 | |
Kaiser Permanente
| Professional | $173.78 | $263.03 | $302.00 | |
United
| Professional | $63.10 | $67.61 | $186.21 |